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[Bilateral pneumothorax complicating cavitary pulmonary metastases in angiosarcoma]
Lorena V Maldonado1, Silvia Quadrelli, Gustavo Lyons
1Servicio de Medicina Respiratoria, Hospital Británico de Buenos Aires, Argentina.
Medicina
|June 12, 2014
Summary
Metastatic pulmonary angiosarcomas can cause recurrent pneumothorax. Surgical intervention via videothoracoscopy successfully treated cavitary lesions in a patient with scalp angiosarcoma, with no recurrence at six months.
Area of Science:
- Oncology
- Thoracic Surgery
- Pathology
Background:
- Metastatic pulmonary angiosarcomas are a rare but known complication.
- Typical presentations include nodules, infiltrates, and pleural effusions.
- Angiosarcoma is a rare malignant vascular tumor.
Observation:
- A 65-year-old man presented with bilateral recurrent pneumothorax.
- The pneumothorax was secondary to metastatic cavitary lesions from scalp angiosarcoma.
- This presentation is atypical for metastatic pulmonary angiosarcoma.
Findings:
- Videothoracoscopy was utilized for diagnosis and treatment.
- Tumor resection, inspection, and pleurodesis were performed.
- The patient experienced no immediate complications post-procedure.
Implications:
- This case highlights an unusual presentation of metastatic angiosarcoma.
- Videothoracoscopy is a viable option for managing complex pulmonary metastases.
- Successful surgical management offers a positive prognosis for selected cases.
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